Management of a Case of Severe Pelvic Fracture Related Bladder Trauma

Urology Case Reports
Jeremy B MyersToby M Enniss

Abstract

A 62-year-old male was admitted after being struck by a bus. He sustained a severe pelvic fracture, sigmoid colon injury, and both intraperitoneal and extraperitoneal bladder injury. He underwent initial successful bladder repair. However, at 7 days post-operatively he manifested a leak from the repair and urine was evident coming from the pins of his pelvic external fixator. A repeat cystogram showed massive extravasation, which was managed by operative ligation of the lower ureters and placement of percutaneous nephrostomy tubes. He underwent ureteral reconstruction and colostomy reversal at 9 months. He has both bladder and bowel control.

References

Oct 5, 2001·The Journal of Trauma·A F MoreyS B Brandes
Nov 14, 2012·The Journal of Trauma and Acute Care Surgery·Jeremy B MyersMark H Stevens
Feb 22, 2013·The Journal of Trauma and Acute Care Surgery·Nadya M CinmanBenjamin N Breyer

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Citations

Oct 9, 2016·International Journal of Surgery Case Reports·Saud M AlfayezJesús Palencia

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